The Ponseti technique and improved ankle dorsiflexion in children with relapsed clubfoot

a retrospective data analysis

Erika Marquez, Verity Pacey, Alison Chivers, Paul Gibbons, Kelly Gray*

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)


This study quantifies the change in passive ankle range of motion following modified Ponseti casting in children with relapsed idiopathic clubfoot. Fifty-three cases (feet) were retrospectively reviewed, with 6-month follow-up data available for 72% of participants. The median improvement in dorsiflexion was 15° (95% confidence interval: 12.5°-17.5°, P≤0.05), with 85% achieving dorsiflexion ≥10°. At the 6-month follow-up, dorsiflexion remained significantly improved and 12 feet (32%) presented with subsequent relapse. Nine were referred for further casting and three were recommended for extra-articular surgery. Repeat modified Ponseti management clinically and statistically improves passive ankle dorsiflexion in relapsed idiopathic clubfoot.

Original languageEnglish
Pages (from-to)116-121
Number of pages6
JournalJournal of Pediatric Orthopaedics Part B
Issue number2
Publication statusPublished - 2017



  • Clubfoot
  • Dorsiflexion
  • Ponseti
  • Relapse

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